I was in seeing an older couple, probably late 60’s, the wife having come in for chest pain. They were recent immigrants from Turkey, if I had to guess, within the past few years. The husband had a basic grasp of English, but hers was still a work in progress. Culturally, they were still obviously working on acclimating, the husband wearing a bright red, entirely too tight tank top, and leather biker’s cap, on a freezing cold winter day. They were both very pleasant people, trying their best to understand what was happening, but anxious nonetheless, despite multiple reassurances, both very concerned that I was admitting her to the observation unit for a chest pain rule out. Looking back, their anxiety makes sense, I can imagine that in other countries being admitted into the hospital must be a pretty big deal, and probably only happens if you are pretty sick. Not necessarily so in this country, but a topic best discussed elsewhere. After multiple trips into the room to answer all the husbands various questions and to reassure the wife that she in fact was not dying, I noticed that they both were wearing matching necklaces. The necklace was a gold chain attached to a black leather triangle, maybe 3cm at it’s widest point, and it actually appeared to be a pouch of some sort. On my final trip into the room, I couldn’t help but ask about the necklace and what it was. The husband turned to me slowly, and put his finger to his lips is a “shhh” gesture. He leaned in close to me, and whispered in heavily accented english “ Wife and I are exiled Turkish royalty, necklace contains key to safe deposit box. BIG stacks of money”, making a wide gesture with his hands. He must have seen the incredulous look on my face, because he waited a few seconds before him and his wife both broke out laughing. Realizing it was joke, made extra funny given the language barrier, I couldn’t help but cracking up too. He then explained it was a prayer necklace, not in fact a pouch holding a key to untold riches.